Hot Topics: Decision making
by Craig Klugman, Ph.D.
Jump to The Resident (Season 2; Episode 10): What would you do doctor?a>;Jump to The Good Doctor (Season 1; Episode 11): Ignoring patient rights; unnecessary risks; crisis planning; Jump to New Amsterdam (Season 1; Episode 11): Superutilizers and racism; Jump to Chicago Med (Season 4; Episode 11): Triage, gestational surrogacy conflicts; ends justifies the means
by Craig Klugman, PhD
This episode revolves around an unidentified pathogen invading the ED when two patients are brought in immediately after their flight from Malaysia lands.…Full Article
by Craig Klugman, Ph.D.
When Hawkins’ father (Winthrop) collapses, he is brought to Chastain (the hospital he owns) even though he asks to be taken somewhere else.…Full Article
by Craig Klugman, Ph.D.
“Exploring ethical issues in TV medical dramas”
Jump to The Resident (Season 2; Episode 4): Medical Lawsuits; Jump to The Good Doctor (Season 2; Episode 4): Inappropriate coercion to remove autonomy; Jump to New Amsterdam (Season 1; Episode 4): Conflicts of interest; Giving bad news; Jump to Chicago Med (Season 4: Episode 4): When medicine and immigration collide; tough choices
This episode is less about particular stories than the about the topic of malpractice lawsuits.…Full Article
The following post can also be found in the October 2018
issue of the American Journal of Bioethics.
by Ariadne Nichol and David Magnus, Ph.D.…Full Article
by Jason N. Batten, Bonnie O. Wong, William F. Hanks & David Magnus
This issue of the American Journal of Bioethics features a target article by Blumenthal-Barby and Ubel that focuses on patients who are unrealistically optimistic, in denial, or self-deceived.…Full Article
by John D. Lantos, Ph.D
The impassioned and well-reasoned essays in this edition of the journal all agree with two claims: (1) children have moral claims that should be protected and recognized, and (2) we need ongoing discussions on how to determine and weigh the interests of children when we make decisions for them.…Full Article
In Defense of “Denial”: Difficulty Knowing When Beliefs Are Unrealistic and Whether Unrealistic Beliefs Are Bad
When Parents Refuse: Resolving Entrenched Disagreements Between Parents and Clinicians in Situations of Uncertainty and Complexity
The Harm Principle Cannot Replace the Best Interest Standard: Problems With Using the Harm Principle for Medical Decision Making for Children
Best Interest, Harm, God’s Will, Parental Discretion, or Utility
NIPT’s entry into the mainstream has raised some questions as busy health-care providers scramble to figure out how to offer it en masse to a public with varying understanding of genetic testing and little access to genetic counselors.Full Article
It felt as if humanity had crossed an important line: In China, a scientist named He Jiankui announced on Monday that twins had been born in November with a gene that he had edited when they were embryos.
But in some ways this news is not new at all. A few genetically modified people already walk among us.Full Article
Ten years ago, Jennifer Wyms was a 17-year-old junior at Normandy High School in Wellston, Mo. She was the captain of her school’s hip-hop dance team and enjoyed going to the mall with friends. But when a health scare engulfed her St. Louis community, it cast a shadow on her high school experience.
A letter from school officials sent to parents and guardians in October 2008 relayed the news that epidemiologists with the St. Louis County Department of Health had grounds to believe that HIV may have been transmitted among some students — as many as 50 students at Normandy High School could have been exposed, it said.
“Everybody wanted to know, who had it? Where it came from? Why our school?” Wyms told The Washington Post.Full Article
But as ubiquitous as the phenomenon is, and as plentiful the studies that demonstrate it, the placebo effect has yet to become part of the doctor’s standard armamentarium — and not only because it has a reputation as “fake medicine” doled out by the unscrupulous to the credulous. It also has, so far, resisted a full understanding, its mechanisms shrouded in mystery. Without a clear knowledge of how it works, doctors can’t know when to deploy it, or how.Full Article
In a landmark move bound to further shake the tobacco industry, the Food and Drug Administration plans to propose a ban on menthol cigarettes next week as part of its aggressive campaign against flavored e-cigarettes and some tobacco products, agency officials said.Full Article
The picture of genetic privacy that emerges from this systematic literature review is complex and riddled with gaps. When asked specifically “are you worried about genetic privacy,” the general public, patients, and professionals frequently said yes. In many cases, however, that question was posed poorly or only in the most general terms. While many participants expressed concern that genomic and medical information would be revealed to others, respondents frequently seemed to conflate privacy, confidentiality, control, and security. People varied widely in how much control they wanted over the use of data.Full Article
The doctor still isn’t supposed to suggest changing medication until they have you genetically tested again by an independent lab. “It seems to me that if a patient has an interest in their pharmacogenetic profile that could impact medication decisions, they’re probably better off just asking the physician about what testing can be doneFull Article
The Food and Drug Administration on Friday approved a new form of an extremely potent opioid to manage acute pain in adults, weeks after the chairman of the advisory committee that reviewed it asked the agency to reject it on grounds that it would likely be abused.Full Article
These personal and medical decisions are difficult enough. Now the specter of legislation is creeping into doctors’ offices and labor and delivery suites. Conversations we should never entertain — ones that start with, “Is she sick enough yet?” — are becoming more common.Full Article
A school’s unwillingness to communicate with fathers, while most disruptive to the mothers who end up doing more than their share of the family care work, can affect children, too.Full Article